HomeMy WebLinkAbout1989-002490 - tear off/reroof ��
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CITY OF ORONO PERMIT TYPE: �
1335 Brown Rd. South • P.O. Box 66 Permit Number: �'������``��'
Crystal Bay, Minnesota 55323 Date Issued: {i��•i�'-�{�
(612) 473-7357 � �` {�='' '_'��
SITE ADDRESS:
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CONTRACTOR: OWNER:
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APPLICANT'PERMITEE SIGNA' ISSUED BY:SIGNATURE �/ _
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INSPECTION RECORD
CITY OF ORONO PERMIT TYPE:
1335 Brown Rd. South • P.O. Box 66 E;i J 1�Ct.s`��i:�
Crystal Bay, Minnesota55323 PermitNumber: i:::�����_ _
(612) 473-7357 Date Issued� � �;i i:;;i:=_�
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SITE ADDRESS: APPLICANT:
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PERMIT SUBTYPE: TYPE OF WORK:
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CITY OF ORONO - BUILDING PERMIT APPLICATION
Total Fee: $��) , �� Date Received•
Date Approved: �
Entered By: Permit#:�(�t��
ALL ZNFORMATION MIIST BE SIIBMITTED IN FDLL BEFORE PLAN REVIEW WILL BE STARTED
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THE APPLICANT IS: (circle one) OWNER or CONTRACTOR
JOB SITE ADDRESS: �-�� ��J��C� �T i�: `� ZIP: ,�5� 7�
(work) ���-3�,�
NAME OF OWNER: `��iy/� ��/C//i� �>�L� O C��� PHONE: (home) � y,�-��'�
MAILING ADDRESS: _�a �� /�GJS�c� ���� CITY: ��cl�c�� ZIP: ��-�J�/�
CONTRACTOR:����� �. ��1il�c� ��.liir�i�S�G��?��i%, PHONE: �j��G� S�
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MAILING ADDRESS: �y���'i!�`'G� ��f7P CITY: ii!/l/l/��"/ ZIP: _��.���
TYPE OF WORR: New Addition Accessory Structure Move
Demo Remodel/Alteration Renovate Land Alteration
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PROPOSED WORR (describe in detail) : ,`� '/�po'� ��� --���
STORIES: SQ. FEBT OF EACH FLOOR:
NO. OF BEDROOMS: GARAGE STALLS: ATT. DET.
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ESTIMATED CONSTROCTION VALDATION (excluding land) : $ �5��
I hereby app ly for a bui lding permit and I acknowledge that the informatior
above is complete and accurate; that the work will be in conformance with thE
ordinances and codes of the City and with the State Building Code; that I
understand this is not a �ermit and work is not to start without a permit; anc
that the work will be in accordance with the approved plan.
APPI.ICANT'S SIGNATURE: DATE: ���' c� /
(Please fill out the reverse side of this form)
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�y��,,�,:���"K,�"; Post Office Box 66•Crystal Bay,Minnesota 55323•Municipal Offices
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�`'� _ � �+` On the North Shore of Lake Minneton a
DATA__PRIVACY ADVISORY
In accordance with M.S. 15.165, "Rights of subjects of data", we
would like to inform you that your request for a permit or license
from the City of Orono or any of its departments may require you to
furnish certain private or confidential information.
You are notified that:
l. The information you furnish will be used to determine your
qualification for the permit or Iicense requested.
2. You may refuse to supp].y data, but refusal may require that
the City deny the permit or license.
3. The information may be shared with other local , state or
federal agencies to the extent necessary to process the permit or
Iicense.
4. If your requested permit or license requires Council action
to approve, some information may become public.
5. You have certain rights under M.S. 15.165 to review private
data on yourself.
6. Your full name, and date of birth are required to process
this application or permit.
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Address
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I understand my rights as stated above.
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Signature
BUILDING&ZONING—473-7357 • ADML*11STRATION&.FINANCE—473-7358 • PUBLIC WORKS—473-7359
ASSESSING
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICEa � � SCHEDULED
PERMIT N0. coMP�ErEo 3 '�O
ADDRESS ���B C�.t�t.o \-t�`��
OWNER CONTR.
TELEPHONE NO.
i FOOTING - PLUMBING RI C. FIRE PREV.
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� C FRAMING ❑ PLUMBING FINAL i� FIRE SUPRESSION SYS.
l� !_ INSULATION C MECHANICAL RI ❑ EXCAVIGRADING/FILLING
� i l WALL BD. il MECHANICAL FINAL � LAKESHOREMIETLANDS
� C; FINAL �] FIREPLACE/WOOD BURNER C TREE REMOVAL
Q C DEMO—SITE ;;WATER HOOK-UP ❑ KENNEL LICENSE
� ❑ DEMO—FINA� C METER SET/TURN ON ❑ SITE INSPECTION
� �! SEWER HOOK-UP L! PROGRESS
= G SEPTIC MAINT. ❑ COMPLAINT
v C SEPTIC INSTALL ❑ FOLLOW-UP
� ❑ SEPTIC FINAL
� C;SITE WELL
� ❑ ELLTESTPUMP
� COMMENTS: �P-�'t�r�� � r-D'Y"� O�
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p C; CORRECT WORK,CALL FOR REINSPECTION C; ISSUE CERTIFICATE OF OCCUPANCY
V BEFORECOVERING TEMPORARY
CCORRECTUNSAFECONDITIONWITHIN HOURS. PERMANENT
INSPECTOR WILL RETURN
�, STOP ORDER POSTED.CALL INSPECTOR
;: INSPECTION REQUIRED.CALL TO ARRANGE ACCESS.
Cail for the next inspection 24 hours in advance.473-7357
OwnerlContractor o ite:
Inspector. �-
White Copyllnspector's File Canary CopylSite Notice
DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NO�ICE,., SCHEDULED
PERMIT NO.���� COMPLETED l� '� lI ��
ADDRESS ��3 g �-Sc� � ��
OWN ER CONTR.
TELEPHONE NO.
j� ❑ FOOTING ❑ MECHANICALRI ❑ SITEWELL
~ ❑ FRAMING C MECHANICALFINAL ❑WELLTESTPUMP
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� C INSULATION ❑ FIREPLACE/WOOD BURNER ❑ EXCAVIGRADINGIFILLING
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❑WALL B (� ❑WATER HOOK-UP ❑ LAKESHORENVETLANDS
Z �FINAL �— lro('� ❑ METER SETITURN ON ❑TREE REMOVAL
Q ❑ DEMO—SITE ❑ SEWER HOOK-UP ❑SITE INSPECTION
_
� ❑ DEMO—FINAL C7 SEPTIC MAINT. ❑ PROGRESS
J
�Q ❑ PLUMBING RI ❑ SEPTIC INSTALL. ❑ COMPLAINT
_ ❑ PLUMBING FINAL ❑SEPTIC FINAL ❑ FOLLOWUP
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� ❑CORRECT WORK,CALL FOR REINSPECTION ❑ PROJECT COMPLETE
� BEFORECOVERING
V ❑ ISSUE CERTIFICATE OF OCCUPANCY
❑CORRECT UNSAFE CONDITION WITHIN HOURS. TEMPORARY
INSPECTOR WILL RETURN
❑ STOP ORDER POSTED.CALL INSPECTOR PERMANENT
❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS.
Call for the next inspection 24 hours in advance.473-7357
OwnerlContractor on ite:
Inspector.
White Copyllnspector's File Canary CopylSite Notice